Basic Information
Provider Information
NPI: 1306173562
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICH
FirstName: SHERYL
MiddleName: FRIEDNER
NamePrefix:  
NameSuffix:  
Credential: D.P.M.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6042 SIERRA SIENA RD
Address2:  
City: IRVINE
State: CA
PostalCode: 926033912
CountryCode: US
TelephoneNumber: 9498543636
FaxNumber: 9498543637
Practice Location
Address1: 550 LOMAS SANTA FE DR
Address2: SUITE B
City: SOLANA BEACH
State: CA
PostalCode: 920751341
CountryCode: US
TelephoneNumber: 8587556055
FaxNumber: 8587556785
Other Information
ProviderEnumerationDate: 11/09/2009
LastUpdateDate: 08/13/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213E00000XE2444CAY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

No ID Information.


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